Periampullary diverticulum: a case of bleeding from a periampullary diverticulum.
ANNALS OF THE ACADEMY OF MEDICINE, SINGAPORE 2005;
34:636-8. [PMID:
16382250]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
INTRODUCTION
Duodenal diverticula are uncommon and usually asymptomatic. Complications like bleeding, perforation and biliary fistulae are rare. The management of a bleeding duodenal diverticulum can be challenging. With the improvement of endoscopic techniques, many of the cases reported in the literature were managed with endoscopic methods. We present a case report of bleeding duodenal diverticulum.
CLINICAL FEATURES
The patient was treated successfully with endoscopic haemostasis during her first epidsode when she initially presented with bleeding duodenal diverticulum, but recurred after 2 months.
TREATMENT
Despite initial endoscopic haemostasis during her second episode, she rebled after 2 days, necessitating surgical management.
OUTCOME
After suture ligation of the ulcer, the patient recovered and there was no more recurrence.
CONCLUSION
Periampullary diverticulum is a rare source of gastrointestinal bleeding, which can be challenging to diagnose and treat. A multidisciplinary approach encompassing radiology, endoscopy and surgery is most effective.
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